Child Dedication

Please confirm your registration upon arrival at the church at the Information Booth located in the lobby.

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Confirm which 3rd Wednesday to dedicate your child:
Parent/Guardian #2:
*Child's Name:
*Child DOB:
*Witness Name #1:
Witness Name #2: